Three Take Away or Big ideas From Carranza on Endocrine Disorders and Periodontal Disease

Endocrine system:

1- Diabetes :

• Direct effect on periodontitis

• Increase in attachment loss

• Enlarged gingiva

• Increase in bleeding

• Increase tooth mobility

• Tooth abscess

2- Female sex hormones:

• Initiating factors or complicating factors

• Gingival alteration

• Puberty gingivitis, menopausal gingivitis, pregnancy gingivitis

• No specific inflammatory response with vascular component

• Hemorrhagic response

• Bluish discoloration

• Edema, gingival enlargement

• Before menstrual period: gingival bleeding, bloating and tense feeling

• Increase in exudates

3- Hyperparathyroidism:

• Radiographic : ground glass appearance, CT bone cysts

• Giant cell tumor

• Loss of lamina Dura.

• Malocclusion

• Tooth mobility